• M Gill, L Fligelstone, J Keating, D G Jayne, S Renton, C P Shearman, G L Carlson, and Association of Coloproctology of Great Britain and Ireland, the Vascular Society of Great Britain and Ireland, the British Orthopaedic Association and the British Association of Urological Surgeons.
• Department of Surgery, East Lancashire NHS Trust, Blackburn, UK.
• Br J Surg. 2019 Aug 1; 106 (9): 1156-1166.

BackgroundPatients undergoing prolonged pelvic surgery may develop compartment syndrome of one or both lower limbs in the absence of direct trauma or pre-existing vascular disease (well leg compartment syndrome). This condition may have devastating consequences for postoperative recovery, including loss of life or limb, and irreversible disability.MethodsThese guidelines represent the collaboration of a multidisciplinary group of colorectal, vascular and orthopaedic surgeons, acting on behalf of their specialty associations in the UK and Ireland. A systematic analysis of the available peer-reviewed literature was undertaken to provide an evidence base from which these guidelines were developed.ResultsThese guidelines encompass the risk factors (both patient- and procedure-related), diagnosis and management of the condition. Key recommendations for the adoption of perioperative strategies to facilitate prevention and effective treatment of well leg compartment syndrome are presented.ConclusionAll surgeons who carry out abdominopelvic surgical procedures should be aware of well leg compartment syndrome, and instigate policies within their own institution to reduce the risk of this potentially life-changing complication.© 2019 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.

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